Abstract
There has been much uncertainty about the concept “pylorospasm”. For many years radiologists considered pylorospasm to be due to spasm of the pyloric ring, where the ring was equated with the pyloric sphincter. It was thought that spasm of the ring (or “sphincter”) closed the pyloric aperture, thereby delaying gastric emptying and causing retention. In other words, whenever the barium-filled stomach showed delayed emptying, or failed to empty within a certain prescribed time (in the absence of an organic lesion), older radiologists were inclined to label the condition “pylorospasm”. This diagnosis was made commonly, was usually accepted by clinicians, and probably had an erroneous bearing on the perception of many intra-abdominal conditions.
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References
Astley R. The radiology of “atypical” hypertrophic pyloric stenosis. Brit J Rad 1952, 25, 342–350.
Atkinson M, Edwards DAW, Honour AJ, et al. Comparison of cardiac and pyloric sphincters: a manometric study. Lancet 1957, 273, 918–922.
Bastianelli R. Pylorus spasm and its surgical treatment. Ann Surg 1925, 81, 45–51.
Bateson EM, Talerman A, Walrond ER. Radiological and pathological observations in a series of seventeen cases of hypertrophic pyloric stenosis of adults. Brit J Rad 1969, 42, 1–8.
Blumhagen JD, Coombs JB. Ultrasound in the diagnosis of hypertrophic pyloric stenosis. J Clin Ultrasound 1981, 9, 289–292.
Blumhagen JD, Noble HGS. Muscle thickness in hypertrophic pyloric stenosis: sonographic determination. Amer J Roentg Rad Ther Nucl Med 1983, 140, 221–223.
Cole LG. Physiology of the pylorus, pilleus ventriculi and duodenum as observed roent-genographically. J Amer Med Assoc 1913, 61, 762–767.
Cole LG. The living stomach and its motor phenomenon. Acta Rad 1928, 9, 533–545.
Craig WS. Palpable contractile tumors in the newly born. Arch Dis Child 1955, 30, 484–492.
Cunningham DJ. The varying form of the stomach in man and the anthropoid ape. Trans Roy Soc Edin 1906, 45, 9–47.
Deaver JB, Burden VG. The surgery of pylorospasm. Ann Surg 1929, 90, 530–534.
Forssell G. Ueber die Beziehung der Röntgenbilder des menschlichen Magens zu seinem anatomischen Bau. Fortschr Geb Röntgenstr 1913, Suppl 30, 1–265.
Franken EA. Gastrointestinal Imaging in Pediatrics. Harper and Row, Philadelphia 1982, 2nd Edit, p 131.
Graif M, Itzchak Y, Avigad I, et al. The pylorus in infancy: overall sonographic assessment. Pediatr Radiol 1984, 14, 14–17.
Haller JO, Cohen HL. Hypertrophic pyloric stenosis: diagnosis using US. Radiology 1986, 161, 335–339.
Hughson W. Reflex spasm of the pylorus and its relation to diseases of the digestive organs. Arch Surg 1925, 11, 136–151.
Keet AD, Heydenrych JJ. Hiatus hernia, pyloric muscle hypertrophy and contracted pyloric segment in adults. Amer J Roentg Rad Ther Nucl Med 1971, 113, 217–227.
Larson LJ, Carlson HC, Dockerty MB. Roentgenologic diagnosis of pyloric hypertrophy in adults. Amer J Roentg Rad Ther Nucl Med 1967, 101, 453–458.
Levin B. Miscellaneous gastric lesions. Sem Roentg 1971, 6, 193–206.
Stunden RJ, Le Quesne GW, Little KET. The improved ultrasound diagnosis of hypertrophic stenosis. Pediatr Radiol 1986, 16, 200–205.
Swischuk LE. Radiology of the Newborn and Young Infant. Williams and Wilkins Co, Baltimore 1978, p 274.
Swischuk LE. Radiology of the Newborn and Young Infant. Williams and Wilkins Co., Baltimore, 2nd ed 1980, pp 364–381.
Torgersen J. The muscular build and movements of the stomach and duodenal bulb. Acta Rad 1942, Suppl 45, pp 79.
Torgersen J. The muscular build and movements of the stomach and duodenal bulb. Acta Rad 1942, Suppl 45, 115.
Wilson DA, Vanhoutte JJ. The reliable sonographic diagnosis of hypertrophic pyloric stenosis. J Clin Ultrasound 1984, 12, 201–204.
Wood BSB, Astley R. Vomiting of uncertain origin in young infants. Arch Dis Child 1952, 27, 562–568.
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© 1993 Springer-Verlag Berlin Heidelberg
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Keet, A.D. (1993). Pylorospasm. In: The Pyloric Sphincteric Cylinder in Health and Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77708-0_20
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DOI: https://doi.org/10.1007/978-3-642-77708-0_20
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